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Free Medical Plans Practice Questions

Nebraska Accident & Health exam — 45 practice questions.

Subtopics: HMO, PPO, Primary care physician, Deductible, Coinsurance, Copayment, Health savings account, Out-of-pocket maximum, Point of service, Fee-for-service, Stop-loss, Major medical, POS, Gatekeeper, Preauthorization, Utilization review, Preventive care, Coordination of benefits, Comprehensive major medical, HIPAA portability, HIPAA privacy, Dependent to age 26, Exclusive Provider Organization, High-deductible health plan, Capitation, Closed-panel HMO, Open-panel HMO, Concurrent review, Second surgical opinion, Case management, Out-of-network cost sharing, Essential health benefits, Metal tier levels, Guaranteed issue, Medical loss ratio, Annual and lifetime limit prohibition, Health insurance marketplace, Premium tax credit, Prescription drug formulary, Major medical cost-sharing

Read the Medical Plans study guide

Sample questions & answers

1. A health plan that delivers care through a network and emphasizes a primary care gatekeeper is a(n):

Health Maintenance Organization

An HMO provides care through a contracted network and typically uses a primary care gatekeeper.

2. A plan that lets members use out-of-network providers at a higher cost is a:

Preferred Provider Organization

A PPO allows care from out-of-network providers, though at greater out-of-pocket cost to the member.

3. In a typical HMO the physician who coordinates a member's care and referrals is the:

Primary care physician

The primary care physician acts as the gatekeeper coordinating care and referrals in an HMO.

4. The amount an insured must pay out of pocket before a medical plan begins to pay is the:

Deductible

The deductible is the amount the insured pays before the plan starts paying covered expenses.

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Practice: Medical Plans

Take a randomized, timed-style practice test. Answer choices are shuffled and your results are scored instantly with an explanation for every question.

Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.